RCM Product Manager

• May 2023 - Present

Senior RCM Operations Manager

• Feb 2023 - May 2023

Supervise team of seven individuals in various roles, including Operations Analysts, Operations Specialists, EDI Enrollment Specialists, and Interns ensuring seamless execution of tasks and compliance with set standards. Develop and oversee implementation of new features and optimization for Azalea EHR and Azalea PM. Engaged cross functionally with C-suite executives to achieve strategic objectives. Perform review and deploy SOP, scope of work, and policies and procedures for revenue cycle… Show more Supervise team of seven individuals in various roles, including Operations Analysts, Operations Specialists, EDI Enrollment Specialists, and Interns ensuring seamless execution of tasks and compliance with set standards. Develop and oversee implementation of new features and optimization for Azalea EHR and Azalea PM. Engaged cross functionally with C-suite executives to achieve strategic objectives. Perform review and deploy SOP, scope of work, and policies and procedures for revenue cycle management department. Exhibit expertise as subject matter expert on revenue cycle management. Address and resolve client escalations through effective communication and problem-solving skills. Identify opportunities to upsell SaaS clientele by conducting RCM analysis on behalf of internal sales team.

RCM Operations Manager

• Apr 2022 - Feb 2023

Conducted review and upkept operational models for Quality Assurance/Operations. Administered performance evaluation and pay scale increases presented to Chief Financial Officer (CFO). Performed financial analysis interpretation of data for Azalea RCM clients. Utilized benchmarking methodologies to identify areas of improvement. Optimized profits for clients through data-driven decision making. Sustained and scaled all RCM new employee training and continuing education material, including RCM… Show more Conducted review and upkept operational models for Quality Assurance/Operations. Administered performance evaluation and pay scale increases presented to Chief Financial Officer (CFO). Performed financial analysis interpretation of data for Azalea RCM clients. Utilized benchmarking methodologies to identify areas of improvement. Optimized profits for clients through data-driven decision making. Sustained and scaled all RCM new employee training and continuing education material, including RCM Index, Salesforce and RCM client account information management, new software release enhancements, industry updates, and specific coding/billing regulation updates. ● Increased efficiency by 5-10% per feature through designing and deployment of various features and enhancements to Azalea HER along with product and engineering. ● Maximized and sustained RCM automation, such as EDI/ERA/EFT enrollments, billing automation, reimbursement automation, and general RCM account automation to improve efficiency. ● Trained and audited RCM employees, sub-contractors/offshore partners on HIPAA compliance policies and procedures in liaison with Azalea privacy and security committee and Officers to achieve compliance goals.

Revenue Cycle Quality Assurance Manager

• Apr 2021 - Apr 2022

Managed internal audit methods for all positions within RCM division. Developed and sustained 10+ audits to monitor department productivity service quality. Facilitated acquisition of CEUs for training of RCM staff. Maintained RCM new employee training continuing education material, such as software release enhancements, industry updates, RCM Index, and coding/billing regulation. Transmitted information regarding coding, billing, and compliance regulations to other RCM employees. Organized all… Show more Managed internal audit methods for all positions within RCM division. Developed and sustained 10+ audits to monitor department productivity service quality. Facilitated acquisition of CEUs for training of RCM staff. Maintained RCM new employee training continuing education material, such as software release enhancements, industry updates, RCM Index, and coding/billing regulation. Transmitted information regarding coding, billing, and compliance regulations to other RCM employees. Organized all SaaS client Billing Trainings for RCM employees. Evaluated and provided feedback for EHR and PM related enhancements in liaison with development resources and product managers. Confirmed adherence to HIPAA regulations in RCM Department. ● Devised and implemented new modules on Azalea Platform to track employee adherence. ● Enhanced organizational learning by sharing valuable training resources with other departments. ● Utilized audits and offered support to functional leaders in effectively monitoring teams’ productivity and accuracy.

Revenue Cycle Quality Assurance Team Lead

• Sep 2019 - Apr 2021

Streamlined functions related to recruiting, hiring, training, onboarding, performance evaluation/appraisal, and retention. Spearheaded quality assurance specialists. Conducted monthly and annual assessments performance. Performed review of employee timesheets. Evaluated sanctioned time off requests approved payroll. ● Established quality assurance department for Azalea Health.

Account Coordinator Team Lead

• Sep 2017 - Sep 2019

Performed monthly and yearly performance evaluations. Oversaw workload distribution and identified training requirements. Executed strategic audit methodologies for internal audit of account coordinator. Conducted onboarding training for new hires. Provided cross-functional training for inter-departmental staff. Appointed as account coordinators for newly onboarded clients ● Demonstrated abilities as escalation point for notable clientele experiencing dissatisfaction. ● Directed team of… Show more Performed monthly and yearly performance evaluations. Oversaw workload distribution and identified training requirements. Executed strategic audit methodologies for internal audit of account coordinator. Conducted onboarding training for new hires. Provided cross-functional training for inter-departmental staff. Appointed as account coordinators for newly onboarded clients ● Demonstrated abilities as escalation point for notable clientele experiencing dissatisfaction. ● Directed team of 15+ account coordinators and ensured improvement of days in AR to meet MGMA standards of 40 days or less.

Account Coordinator

• Oct 2015 - Sep 2017

Managed 15+ client accounts, including multiple enterprise-level clients. Generated and presented necessary reports to clients. ● Provided exceptional customer service in adherence with Azalea's Core Values (Aggressive, Humble, Innovative). ● Acquired challenging orthopedic client, previously at risk and transformed into referenceable source, boosting revenue.

Revenue Cycle Coding/Billing Specialist

• Apr 2014 - Sep 2015

Billing Specialist

• Jun 2012 - Apr 2014

Accurately coding and billing insurance companies according to AMA CPT and ICD-9 guidelines Accurately recording insurance payments Processing transactions for patient payments and co-payments Verifying and billing multiple insurance companies Creating and maintaining multiple spreadsheets Effectively using and understanding AltaPoint Medical Software Promptly attending to patient questions and requests Research and deliver patient information to insurance… Show more Accurately coding and billing insurance companies according to AMA CPT and ICD-9 guidelines Accurately recording insurance payments Processing transactions for patient payments and co-payments Verifying and billing multiple insurance companies Creating and maintaining multiple spreadsheets Effectively using and understanding AltaPoint Medical Software Promptly attending to patient questions and requests Research and deliver patient information to insurance companies Adhere to HIPPA laws and regulations Show less Accurately coding and billing insurance companies according to AMA CPT and ICD-9 guidelines Accurately recording insurance payments Processing transactions for patient payments and co-payments Verifying and billing multiple insurance companies Creating and maintaining multiple spreadsheets Effectively using and understanding AltaPoint Medical Software Promptly attending to patient questions and requests Research and deliver patient information to insurance… Show more Accurately coding and billing insurance companies according to AMA CPT and ICD-9 guidelines Accurately recording insurance payments Processing transactions for patient payments and co-payments Verifying and billing multiple insurance companies Creating and maintaining multiple spreadsheets Effectively using and understanding AltaPoint Medical Software Promptly attending to patient questions and requests Research and deliver patient information to insurance companies Adhere to HIPPA laws and regulations Show less

Billing Specialist

• Oct 2011 - Mar 2012

I assure that the bills are sent to the client in an acurate manner by communicating with attorney's and legal assistants. I also specialize in insurance, so I assure that all insurance claims are submitted in the correct fashion, along with the appropriate bills for the client as well. I also work with attorney's and legal assistants to set up the new clients and new matters that are coming in as well. I assure that the bills are sent to the client in an acurate manner by communicating with attorney's and legal assistants. I also specialize in insurance, so I assure that all insurance claims are submitted in the correct fashion, along with the appropriate bills for the client as well. I also work with attorney's and legal assistants to set up the new clients and new matters that are coming in as well.

Insurance/Billing Specialist

• Aug 2009 - Sep 2011

Accurately coding and billing insurance companies according to AMA CPT and ICD-9 guidelines Accurately recording insurance payments Processing transactions for patient payments and co-payments Verifying and billing multiple insurance companies Creating and maintaining multiple spreadsheets … Show more Accurately coding and billing insurance companies according to AMA CPT and ICD-9 guidelines Accurately recording insurance payments Processing transactions for patient payments and co-payments Verifying and billing multiple insurance companies Creating and maintaining multiple spreadsheets Effectively using and understanding AltaPoint Medical Software Promptly attending to patient questions and requests Research and deliver patient information to insurance companies Adhere to HIPPA laws and regulations Show less Accurately coding and billing insurance companies according to AMA CPT and ICD-9 guidelines Accurately recording insurance payments Processing transactions for patient payments and co-payments Verifying and billing multiple insurance companies Creating and maintaining multiple spreadsheets … Show more Accurately coding and billing insurance companies according to AMA CPT and ICD-9 guidelines Accurately recording insurance payments Processing transactions for patient payments and co-payments Verifying and billing multiple insurance companies Creating and maintaining multiple spreadsheets Effectively using and understanding AltaPoint Medical Software Promptly attending to patient questions and requests Research and deliver patient information to insurance companies Adhere to HIPPA laws and regulations Show less

Receptionist, Service Manager Assistant

• Sep 2008 - Sep 2009

Multi-line telephone systems, Document Organization, Customer Service. Multi-line telephone systems, Document Organization, Customer Service.

Intern Account Executive

• May 2009 - Aug 2009

Account Management Account Management

Hostess, Server

• Apr 2007 - Dec 2008

Customer Service Customer Service

Photographer, Trainer

• Mar 2008 - Jul 2008

Customer Service, Photography, Sales Customer Service, Photography, Sales

Shift Leader, Head Cake Decorator, Manager

• Aug 2004 - Aug 2007

Employee Management, Sales, Customer Service, Food Orders Employee Management, Sales, Customer Service, Food Orders

Billing Clerk Assistant

• May 2006 - Aug 2006

Account Management, Billing, Accounts Receivables Account Management, Billing, Accounts Receivables